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Alternate Email1

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Do you have any medical conditions that may impact on your participation at Pony Club? If Yes, please list. *

Do you have any allergies that may impact on your participation at Pony Club? If Yes, please list. *

I agree to help set up before each rally and/or put away equipment at the end of each rally. *

Yes

What are your equestrian goals for the season?

Do you coach at Pony Club? *

Yes

If Yes, at what level do you coach?

Ethnicity - Choose from the following options *

Email address is already assigned to a member,
please use an alternative email address.

You appear to be an existing member.
Do you want to renew your membership?

Primary Member must be an Adult/18+. Children/under 18 memberships can be added on the next page.

Aged pension membership is for members over 65 years.
Please choose another membership type or correct your date of birth.

EA number does not match member name.

To be eligible for this membership, a doctors certificate/para classification/RDA associate membership must be provided to the club to receive a code to apply for this membership type. Please type code in below.

MercuryBay-Mercury Bay

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